Feasibility and morbidity of total laparoscopic radical hysterectomy with or without pelvic limphadenectomy in obese women with stage I endometrial cancer

Abstract

Total laparoscopic radical hysterectomy (with pelvic lymphadenectomy) is a safe option in patients with endometrial cancer. Obesity is not a contraindication to perform a TRLH with no differences in surgical parameters between obese and nonobese population. TLRH show a significant decrease of complications compared to laparotomic radical surgery in obese women.

Laparoscopy versus laparotomy for the management of endometrial carcinoma in morbidly obese patients: a prospective study

“…To prevent interpathologist variations, frozen and paraffin section analyses were performed by the same pathologists who are experienced in the gynecologic oncology field. In the cur- Several studies have demonstrated that laparoscopy causes lesser complications than laparotomy in obese women (7,8,16,(19)(20)(21)(22)(23)(24). In the current study, there was no significant difference between both the groups with respect to the incidence of operative complications.…”

Total Laparoscopic Hysterectomy: Surgical Technique and Results

“…The patients were stratified into five groups (underweight, ideal weight, overweight, obese and morbidly obese) and no statistically significant difference in mean duration of surgery, blood loss and hospital stay as observed between groups. Pellegrino et al (2009) did not identify any difference between obese and nonobese women undergoing laparoscopic radical hysterectomy for stage I endometrial cancer in terms of surgical time, and intraoperative and long-term complications. Only blood loss was significantly higher in obese patients.…”

Laparoscopy in the treatment of cancer of the corpus uteri in patients with metabolic syndrome. A case report

“…Ряд работ указывают, что лапароскопические операции имеют потенциал для решения проблемы снижения частоты осложнений, свойственных при лапаротомных вмешательствах у больных ожирением [14,15].…”